Some states are implementing exciting health delivery innovations in their Medicaid programs. Examples discussed in this issue brief include the New York State Medicaid program's "care management for all" initiative; the development of a safety net accountable care organization (ACO) for a Medicaid expansion population in Hennepin County, Minnesota; and a system of 14 nonprofit, community care networks developed to serve Medicaid and uninsured people throughout North Carolina. Federally qualified health centers (FQHC) and state Medicaid programs, which both serve low-income children and adults, can be partners in implementing innovations related to primary care, including patient-centered medical homes (PCMH). Moreover, state and regional Primary Care Associations and the National Association of Community Health Centers (NACHC) can help implement innovations in primary care and take them to scale. Accountability for entities such as ACOs and PCMHs can be improved through the National Committee for Quality Assurance's (NCQA) accreditation, certification, and recognition programs.
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